Limitations and Future Directions in Pharmacological Treatment for Amphetamine-Type Stimulant Use Disorder.

Anees Bahji
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Abstract

Plain Language SummaryWhy Current Treatments for Stimulant Addiction Often Fall Short: Insights and Future Directions Stimulant addiction, such as addiction to drugs like amphetamines, is a growing public health concern, but there are very few effective medications to treat it. A recent study reviewed a drug called modafinil and found it didn't help reduce drug use, cravings, or improve treatment outcomes. This article discusses why treatments that work for other addictions, like opioids, are less effective for stimulants. It also highlights the challenges researchers face, such as differences in study methods and overlooking common issues like mental health problems or using multiple substances. The focus on complete abstinence as a treatment goal is another issue. Harm reduction, which involves reducing drug use and improving health and social well-being, could be more realistic and beneficial for many people. Finally, while therapy remains the most effective treatment, it's not always accessible. This article calls for new, innovative approaches that prioritize harm reduction, safety, and long-term recovery.

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安非他明类兴奋剂使用障碍药物治疗的局限性和未来方向。
为什么目前对兴奋剂成瘾的治疗往往效果不佳:洞察和未来方向兴奋剂成瘾,如对安非他明等药物的成瘾,是一个日益严重的公共卫生问题,但很少有有效的药物来治疗它。最近的一项研究回顾了一种名为莫达非尼的药物,发现它无助于减少吸毒、渴望或改善治疗效果。这篇文章讨论了为什么对阿片类药物等其他成瘾药物有效的治疗方法对兴奋剂效果较差。它还强调了研究人员面临的挑战,比如研究方法的差异,以及忽视了精神健康问题或使用多种物质等常见问题。把完全戒断作为治疗目标是另一个问题。减少危害涉及减少吸毒和改善健康和社会福利,这对许多人来说可能更为现实和有益。最后,虽然治疗仍然是最有效的治疗方法,但它并不总是可行的。本文呼吁采用新的、创新的方法,优先考虑减少危害、安全和长期恢复。
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来源期刊
CiteScore
7.00
自引率
2.50%
发文量
69
审稿时长
6-12 weeks
期刊介绍: Established in 1956, The Canadian Journal of Psychiatry (The CJP) has been keeping psychiatrists up-to-date on the latest research for nearly 60 years. The CJP provides a forum for psychiatry and mental health professionals to share their findings with researchers and clinicians. The CJP includes peer-reviewed scientific articles analyzing ongoing developments in Canadian and international psychiatry.
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